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Recurrent strokes occurred in 23 patients(9%)and were fatal in 9.Another 37 patients were treated by a cardiologist during follow-up;3 had had a myocardial infarct.Fourteen additional patients needed major vascular surgery.Outcomes with the Glasgow Outcome Scale and Barthel Index were generally favorable.Still,only 49%of patients were still alive,were not disabled,had not suffered from recurrent vascular events,or had not undergone major vascular surgery.Only 42%of survivors had returned to work.A majority of survivors reported emotional,social,or physical residuals that lessened the quality of life.The risks of recurrent vascular 3vents in young adults who have had ischemic stroke are considerable.In addition,a majority of survivors will have residual emotional,social,or physical impairments that hamper employment or lower the quality of life.Further research on the quality of life for young adults who survive stroke is needed. |
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cerebral infarction cerebrovascular accident cerebrovascular accident,prognosis in cerebrovascular accident,recurrent cerebrovascular accident,young adult disability,neurological prognosis quality of life
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